MEDICARE: ALEXANDRA SOFIA ROSS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	29272	NV

General Provider Information

NPI Number	:	1497405963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA SOFIA ROSS MD

Provider Business Mailing Address
First Line	:	PO BOX 450709
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-0614
Country	:	US
Telephone Number	:	702-330-3102
Fax Number	:	702-912-4994

Provider Business Practice Location Address
First Line	:	9280 W SUNSET RD STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4862
Country	:	US
Telephone Number	:	702-366-1268
Fax Number	:	702-366-7079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2022
Last Update Date	:	07/01/2026

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